From the Research
No, Osgood-Schlatter disease does not always hurt, as the pain is usually intermittent and activity-related rather than constant, with many patients experiencing pain primarily during activities that involve running, jumping, or kneeling, while feeling little to no discomfort at rest. This condition, which typically affects growing adolescents during growth spurts, causes pain and swelling below the knee at the tibial tubercle where the patellar tendon attaches. The severity varies widely among individuals, with some experiencing only mild discomfort during intense physical activity and others having more persistent pain. According to the most recent study 1, over one-third of patients with Osgood-Schlatter disease still reported knee pain at 2-year follow-up, which was associated with lower sports-related function and health-related quality of life.
Key Points
- The condition is caused by repetitive tension on the growing tibial tubercle during periods of rapid growth, creating inflammation and sometimes partial separation of the tubercle.
- Treatment typically includes rest from aggravating activities, ice application for 15-20 minutes several times daily, over-the-counter pain medications like ibuprofen or acetaminophen, and specific stretching exercises for the quadriceps and hamstrings.
- Most cases resolve on their own once skeletal maturity is reached, though the bony prominence that develops may remain permanently.
- Higher De Flaviis classification at baseline was significantly associated with an increased risk of knee pain at 2 years, as reported in the study 1.
- Diagnostic US at follow-up demonstrated primarily tendon changes, as well as an ununited ossicle in 32% of participants who underwent US scanning at follow-up.
Management and Prognosis
The prognosis of Osgood-Schlatter disease is not always as good as anticipated, with some patients experiencing persistent knee pain and lower health-related quality of life, as shown in the study 1. However, with proper management, including rest, ice, and stretching exercises, most patients can expect to recover fully once skeletal maturity is reached. It is essential to note that the severity of the condition and the effectiveness of treatment can vary widely among individuals, and some patients may require more aggressive treatment or longer recovery times.